Okaloosa County BOCC — September 3, 2013 — Final Invoice - CH2M Hill Task Order 19 — reading text

FVYAGZ CONTRACT/LEASE PAYMENT APPROVAL FORM COMPLETE AND FORWARD TO THE NEXT DEPARTMENT DATE: 10/1/2013 COMPLETED BY DEPARTMENT VENDOR NAME: CH2M HILL Engineers, INC. VENDOR #: 15696 CONTRACT/LEASE#: C05-1188-WS TASK COUNTY/FEMA VENDOR BUDGET INVOICE # ORDER PROJECT# — |peparTMENT #| “CCOUNT# AMOUNT § (ff Applicabie) (ff Applicable) 38113026463 4 19 « 4120 a 563309 ~ 5,092.40 TOTAL | $ 5,092.40 CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT MANAGER: COUNTY SUPERVISOR/PROJECT MANAGER: 0 APPROVED FOR PROGRESS PAYMENT (please sign, as applicable and date) DEPARTMENT DIRECTOR: 0 CONTRACTS & GRANT MANAGER: COUNTY ADMINISTRATOR: (Payments> $25,000.) ZELDE pth Tse. aml LN DATE: '/I3 DATE: _“dfofi3 DATE: 10/ | yf 2.019 DATE: DATE: FINAL PAYMENT FINAL PAYMENT YES Us O Of "Yes", forward to Purchasing Services Coordinator for Close-Out) 0 DATE: PURCHASING DIRECTOR: vila (Per Initial Agreement) rs DATE: CONTRACTS & GRANTS MANAGER: (All Contracts) DATE: COUNTY ADMINISTRATOR APPROVAL: (Per Initial Agreement) DATE: BOARD APPROVAL: (Per Initial Agreement) IE —| COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY FISCAL YEAR: DATE RECEIVED: REVIEWED BY: CH2M HILL Remit to: Wire Transfer Info: 25 West Cedar Street, Suite 560 CH2M HILL ENGINEERS Inc CH2M HILL ENGINEERS Inc. Pensacola, FL 32502 P.O. Box 201869 Account # 4121034003 Office 850.438.2740 Dallas, TX 75320--1869 Wells Fargo Bank Fax 850.939.0035 1700 Lincoln Street Denver, CO 80203 ABA # 121000248 Okaloosa County Date: October 1, 2013 1804 Lewis Turner Blvd., Suite 300 Project No.: 469867 Fort Walton Beach, FL 32547 Client Ref. No.: 015294 Invoice No.: 38113026463 Attention: Kimberly Kilpatrick Period Ending: September 27, 2013 INVOICE PROFESSIONAL ENGINEERING SERVICES FOR FUTURE WATER SUPPLY PLANNING AND ASSISTANCE - (TASK ORDER #19)“ DEPARTMENT 4120 - ACCOUNT 563309 LABOR NAME Job Title RATE HOURS AMOUNT Klaus, William J Sr. Project Consultant $ 172.007 1.0 $ 172.00“ Lehnen, Jeffrey D. Sr. Project Consultant 172.007 13.0 2,236.00 ~ Stejskal, David C Sr. Project Manager 169.007 7.0 1,183.00 Broome, Heather Hull Sr. Technologist 169.007 1.0 169.00 Scott, Jeremy Project Scientist 120.00~ 5.0 600.00 / Tidwell, Lori Staff Consultant 90.00 ~~ 1.0 90.00~ McLeran, Sherri Administrative Assistant - 41.007 0.4 16.40 / P Subtotal Hours 28.9 Subtotal Labor $ 4,466.40 “ EXPENSES DESCRIPTION AMOUNT Air Transportation $ 382.44“ Auto Rentals $ 49.877 Travel - Other $ 67.387. Travel - Meals $ A246“ Lodging $ 83.85 TOTAL EXPENSES 626.00 TOTAL AMOUNT DUE THIS INVOICE $ 5,092.40 Total Authorized Budget $ 20,000.00 Amount Previously Billed $ 10,160.80 Amount Due this Invoice $ 5,092.40 Budget Remaining $ 4,746.80 v Percent Complete 16.27% For questions regarding this invoice, please call Lori Tidwell (352) 384-7191 DUE AND PAYABLE ON RECEIPT OF INVOICE. FINANCE CHARGES WILL BE ASSESSED AT 1% PERCENT PER MONTH (OR MAXIMUM PERMISSIBLE UNDER STATE LAW) ON ALL ACCOUNTS OVERDUE UNLESS STATED OTHERWISE IN OUR CONTRACT. CH2M HILL IS INCORPORATED. Please return copy with payment Task Name |Job Title |Rate [Hours [Amount Brooks Bridge Water Main Joe Klaus Sr. Project Consultant $ 172.00 1.0 $172.00 $ 172.00 Heather Broome Sr. Project Consultant $ 169.00 1.0 $ 169.00 . Jeremy Scott Project Scientist $ 120.00 5.0 $ 600.00 Future Water Supply Planning David Stejskal Sr. Project Consultant $169.00 7.0 | $1,183.00 $ 1,952.00 Potable Water Well Assistance Jeff Lehnen Sr. Project Consultant $ 172.00 13.0 $ 2,236.00 $ 2,236.00 Lori Tidwell Staff Consultant $ 90.00 1.0 $ 90.00 Project Management/Administration Sherri McLeran Administrative Assistant | $ 44.00 0.4 $ 16.40 $ 106.40 $ 4,466.40 10160.8 presse €L07-dAS-€O 10} je} ] (Jey;O)UOseaY - (LEa)en|ea man - (pZa)aniea jeulbyC ‘pebueyo NOILWOOT :A3IONUPNY » pV 78E. €ZLVOS89T/900, Buyeeyy AjUNOD esoojeyxoO, JOYOL | - SUIHIVY: 86°60’ Z9869r Lea) €L0Z-daS-c0. 1 4 L | i | jyunouwy | # JOMOLL esoding ssoulsng | edAj asuedxy | # joaloid | “by | uonoesuely Pred psig o} paijddy junowy seAojdwiq 0} ang junouly ZLCLEELOYS Joquiny buryoesy pied PIpeiy 0} ong JuNOWY ELO~-ONV-S7e ajeq yBnoiyL Kuedwoy 0} eng junowy q9OVIOI Auedwogqng/Auedwo9 je}o | oday asuedxy GZLLOOOOONI Jaquinn aeAojdwig Arewuins AND /Adsyer ‘uesuye7y aweyn saAojduy luOdsd ASN3dXa AyUNdes YIOMISU TIIH WIZHD Ag payepijea soinjeuBbis oiuospey Ad GSALLINGNS Ad GSA0udd¥ usuyes] Aoyer preuoqow uehig From: ch2mhill@tandt.com Sent: Tuesday, September 03, 2013 12:06 PM To: Lehnen, Jeff/GNV; Lehnen, Jeff/GNV; Travel Itinerary Backup Subject: RETAIN FOR EXPENSE DOCUMENTATION - NAME: LEHNEN/JEFFREY DRAKE - TRV DATE: O4SEP - ID: L662M4 CH2M HILL Travel Services DO NOT DELETE THIS EMAIL - You must submit this email as documentation of your air travel expense. All expenses must be submitted for reimbursement within 60 days. Failure to do so may put reimbursement at risk. Please take a moment to review this emailed itinerary for accuracy. Failure to report discrepancies to Travel and Transport within 24 hours of receipt may result in additional costs to CH2M HILL. To receive the most up-to-date information on your itinerary, go to https:/www.viewtrip.com. Your reservation number is L662M4. . For up-to-date information on luggage fees assessed by the airlines, please click here. To add this to your calendar Add to calendar. Click here to learn about our mobile app eTTek Dash. Available for Apple iOS, Android, and Blackberry. Invoice Total Invoice Amount: $413.44 Electronic Ticket Number: 0067268504723 Ticket Amount: $382.44 ~~ Transaction Fee Number: 8900600952550 Transaction Fee Amount: $31.00 Form of Payment: VI************5275 This ticket information applies to the following flight(s): DELTA AIR LINES flight 2212 from Pensacola to Atlanta on September 05 DELTA AIR LINES flight 5584 from Atlanta to Asheville on September 05 Travel Summary - Record L662M4 Traveler Reference # Frequent Flyer # LEHNEN/JEFFREY DRAKE DE899955-CH02691 DL9304747372, US40087359614 Date From/To Flight/Vendor Depart/Arrive Class/Type 09/04/2013 PNS HTL-Comfort Inn Pensacola 09/04-09/05 09/05/2013 PNS-ATL DL 2212 09:15 AM/11:28 AM Economy 09/05/2013 ATL-AVL DL 5584 01:05 PM/01:56 PM Economy HOTEL - Wednesday, September 4 2013 Comfort Inn Pensacola Address: 8080 North Davis Highway Pensacola, FL 32514 United States Tel +1 (850) 484-8070 Fax +1 (850) 484-3853 Check In/Check Out: Wednesday, September 4 2013 - Thursday, September 5 2013 Status: Confirmed Number of Persons: 1 Number of Nights: 1 Number of Rooms: 1 Rate per night: USD 75.20 pilus taxes and/or additional fees Est. Total Rate: USD 83.85 Guaranteed: Yes Confirmation: 34122926 Remarks: PLEASE CANCEL BY 4PM 24HRS PRIOR TO AVOID NO SHOW BILLING GOVT RATES ARE NOT ALWAYS HONORED FOR CONTRACTORS EVEN IF CONFIRMED. BE AWARE HOTEL MAY CHARGE HIGHER RATE AT CHECK-IN. ROOM TYPE NONSMOKING KING REQUESTED AIR - Thursday, September 5 2013 Delta Air Lines Flight DL 2212 Economy Class Depart: Pensacola Regional Airport Weather Pensacola, Florida, United States 09:15 AM Thursday, September 5 2013 Arrive: Hartsfield-Jackson ATL, S - Terminal South Weather Atlanta, Georgia, United States 11:28 AM Thursday, September 5 2013 Duration: 1 hour(s) and 13 minute(s) Non-stop Status: Confirmed - Delta Air Lines Booking Reference: GSS3F4 Equipment: Boeing (Douglas) MD-90 Seat: 21A( Non smoking) Confirmed - LEHNEN/JEFFREY DRAKE FF Number: 9304747372 - LEHNEN/JEFFREY DRAKE AIR - Thursday, September 5 2013 Delta Air Lines Flight DL 5584 Economy Class Depart: Hartsfield-Jackson ATL, S - Terminal South Weather Atlanta, Georgia, United States 01:05 PM Thursday, September 5 2073 Arrive: Asheville Regional Airport Weather Asheville, North Carolina, United States 01:56 PM Thursday, September 5 2013 Duration: 0 hour(s) and 51 minute(s) Non-stop Status: Confirmed - Delta Air Lines Booking Reference: GSS3F4 Equipment: Canadair Regional Jet Operated By: EXPRESSJET DBA DELTA CONNECTION Seat: 02A( Non smoking, Window) Confirmed - LEHNEN/JEFFREY DRAKE FF Number: 9304747372 - LEHNEN/JEFFREY DRAKE Remarks CHANGE FEE IS $200.00 FOR DELTA TICKET MAY BE NON-REFUNDABLE AND CHANGE FEES MAY APPLY. CANCEL PRIOR TO FLIGHT OR TICKET MAY HAVE NO VALUE. ELECTRONIC TICKET CONFIRMATION FOR DELTA AIRLINES-***GSS3F4*™* Federal Government Per Diem: http:/Awww.defensetravel.dod.mil/site/perdiemCalc.cfm. For questions regarding this reservation L662M4, please contact Travel and Transport at 866-265-0664 from 6:30am-6pm MST Monday-Friday, or email your request to ch2mhill@tandt.com. For assistance with online bookings, please call 866-265-0664, or you can email your request to travelonline@tandt.com. For emergency assistance outside of regular business hours call 888-413-7252 in North America. From Mexico call toll-free 001-800-734-8298"** and from all other areas call collect to 402-399-4667*** Are you ready for a vacation? 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